Summary Pharmacology and the Nursing Process 10th
Edition Test Bank, Linda Lilley Pharmacology, Nursing
Pharmacology Test Bank, ADPIE Nursing Process, Drug
Classifications, Pharmacokinetics, Pharmacodynamics,
Medication Safety Nursing, Nursing Exam Preparation,
V
SECTION I: THE NURSING PROCESS AND DRUG THERAPY
1. The nurse is developing a human needs statement for a patient who has a
new diagnosis of heart failure. Identification of human needs statements occurs
with which of these activities?
a. Collection of patient data
b. Administering interventions
c. Deciding on patient outcomes
d. Documenting the patient's behavior
Correct Answer: a
Rationale: Human needs statements (nursing diagnoses) are formulated
during the diagnosis phase, which occurs immediately after data collection and
analysis. The collection of patient data is the assessment phase, providing the
foundation for identifying actual or potential health problems. Administering
interventions is the implementation phase, deciding on outcomes is the planning
phase, and documenting behavior is part of evaluation and documentation. This
sequence reflects the ADPIE framework central to nursing practice .
2. The patient is to receive oral guaifenesin twice a day. Today, the nurse was
busy and gave the medication 2 hours after the scheduled dose was due. What
type of problem does this represent?
a. Right time
b. Right dose
,c. Right route
d. Right documentation
Correct Answer: a
Rationale: The "right time" principle of medication administration requires
that medications be given at the prescribed interval to maintain therapeutic blood
levels. A 2-hour delay violates this right. The dose, route, and documentation
were not necessarily affected by the timing error. Maintaining consistent dosing
intervals is particularly critical for drugs with short half-lives or those requiring
steady-state concentrations .
3. The nurse has been monitoring the patient's progress on a new drug regimen
since the first dose and documenting the patient's therapeutic response to the
medication. Which phase of the nursing process do these actions illustrate?
a. Human needs statement
b. Planning
c. Implementation
d. Evaluation
Correct Answer: d
Rationale: Evaluation involves monitoring the patient's response to
interventions and determining whether therapeutic outcomes have been met.
Since the nurse is assessing the patient's progress and response to the medication
regimen, this represents the evaluation phase. Planning involves setting goals,
implementation involves carrying out interventions, and human needs statements
are the nursing diagnoses themselves .
4. The nurse is assigned to a patient who is newly diagnosed with type 1
diabetes mellitus. Which statement best illustrates an outcome criterion for this
patient?
a. The patient will follow instructions.
b. The patient will not experience complications.
,c. The patient will adhere to the new insulin treatment regimen.
d. The patient will demonstrate correct blood glucose testing technique.
Correct Answer: d
Rationale: Outcome criteria must be specific, measurable, and observable.
"Demonstrate correct blood glucose testing technique" is measurable and
observable. "Follow instructions" and "adhere" are vague and not directly
measurable. "Will not experience complications" is a broad goal rather than a
specific outcome criterion and may not be achievable through nursing
intervention alone .
5. Which activity best reflects the implementation phase of the nursing process
for the patient who is newly diagnosed with hypertension?
a. Providing education on keeping a journal of blood pressure readings
b. Setting goals and outcome criteria with the patient's input
c. Recording a drug history regarding over-the-counter medications used at home
d. Formulating human needs statements regarding deficient knowledge related to
the new treatment regimen
Correct Answer: a
Rationale: Implementation involves carrying out the planned
interventions, such as patient education. Providing education on keeping a blood
pressure journal is an action taken to meet the patient's learning needs. Setting
goals is planning, recording a drug history is assessment, and formulating human
needs statements is diagnosis .
6. The medication order reads, "Give ondansetron 4 mg, 30 minutes before
beginning chemotherapy to prevent nausea." The nurse notes that the route is
missing from the order. What is the nurse's best action?
a. Give the medication intravenously because the patient might vomit.
b. Give the medication orally because the tablets are available in 4-mg doses.
, c. Contact the prescriber to clarify the route of the medication ordered.
d. Hold the medication until the prescriber returns to make rounds.
Correct Answer: c
Rationale: An incomplete medication order must be clarified with the
prescriber before administration. Assuming the route could result in
administering the medication by an inappropriate or unsafe route. Holding the
medication indefinitely without notifying the prescriber could delay necessary
treatment. The nurse must contact the prescriber to obtain a complete and legal
order .
7. When the nurse considers the timing of a drug dose, which factor is
appropriate to consider when deciding when to give a drug?
a. The patient's ability to swallow
b. The patient's height
c. The patient's last meal
d. The patient's allergies
Correct Answer: c
Rationale: The patient's last meal is relevant for medications affected by
food, such as those requiring administration on an empty stomach or with food to
reduce gastrointestinal irritation. The ability to swallow affects route selection,
not timing. Height is not typically relevant to medication timing. Allergies affect
drug selection, not timing .
8. The nurse is performing an assessment of a newly admitted patient. Which is
an example of subjective data?
a. Weight 155 pounds
b. Pulse 72 beats/minute
c. The patient reports that he uses the herbal product ginkgo
d. The patient's complete blood count results
Edition Test Bank, Linda Lilley Pharmacology, Nursing
Pharmacology Test Bank, ADPIE Nursing Process, Drug
Classifications, Pharmacokinetics, Pharmacodynamics,
Medication Safety Nursing, Nursing Exam Preparation,
V
SECTION I: THE NURSING PROCESS AND DRUG THERAPY
1. The nurse is developing a human needs statement for a patient who has a
new diagnosis of heart failure. Identification of human needs statements occurs
with which of these activities?
a. Collection of patient data
b. Administering interventions
c. Deciding on patient outcomes
d. Documenting the patient's behavior
Correct Answer: a
Rationale: Human needs statements (nursing diagnoses) are formulated
during the diagnosis phase, which occurs immediately after data collection and
analysis. The collection of patient data is the assessment phase, providing the
foundation for identifying actual or potential health problems. Administering
interventions is the implementation phase, deciding on outcomes is the planning
phase, and documenting behavior is part of evaluation and documentation. This
sequence reflects the ADPIE framework central to nursing practice .
2. The patient is to receive oral guaifenesin twice a day. Today, the nurse was
busy and gave the medication 2 hours after the scheduled dose was due. What
type of problem does this represent?
a. Right time
b. Right dose
,c. Right route
d. Right documentation
Correct Answer: a
Rationale: The "right time" principle of medication administration requires
that medications be given at the prescribed interval to maintain therapeutic blood
levels. A 2-hour delay violates this right. The dose, route, and documentation
were not necessarily affected by the timing error. Maintaining consistent dosing
intervals is particularly critical for drugs with short half-lives or those requiring
steady-state concentrations .
3. The nurse has been monitoring the patient's progress on a new drug regimen
since the first dose and documenting the patient's therapeutic response to the
medication. Which phase of the nursing process do these actions illustrate?
a. Human needs statement
b. Planning
c. Implementation
d. Evaluation
Correct Answer: d
Rationale: Evaluation involves monitoring the patient's response to
interventions and determining whether therapeutic outcomes have been met.
Since the nurse is assessing the patient's progress and response to the medication
regimen, this represents the evaluation phase. Planning involves setting goals,
implementation involves carrying out interventions, and human needs statements
are the nursing diagnoses themselves .
4. The nurse is assigned to a patient who is newly diagnosed with type 1
diabetes mellitus. Which statement best illustrates an outcome criterion for this
patient?
a. The patient will follow instructions.
b. The patient will not experience complications.
,c. The patient will adhere to the new insulin treatment regimen.
d. The patient will demonstrate correct blood glucose testing technique.
Correct Answer: d
Rationale: Outcome criteria must be specific, measurable, and observable.
"Demonstrate correct blood glucose testing technique" is measurable and
observable. "Follow instructions" and "adhere" are vague and not directly
measurable. "Will not experience complications" is a broad goal rather than a
specific outcome criterion and may not be achievable through nursing
intervention alone .
5. Which activity best reflects the implementation phase of the nursing process
for the patient who is newly diagnosed with hypertension?
a. Providing education on keeping a journal of blood pressure readings
b. Setting goals and outcome criteria with the patient's input
c. Recording a drug history regarding over-the-counter medications used at home
d. Formulating human needs statements regarding deficient knowledge related to
the new treatment regimen
Correct Answer: a
Rationale: Implementation involves carrying out the planned
interventions, such as patient education. Providing education on keeping a blood
pressure journal is an action taken to meet the patient's learning needs. Setting
goals is planning, recording a drug history is assessment, and formulating human
needs statements is diagnosis .
6. The medication order reads, "Give ondansetron 4 mg, 30 minutes before
beginning chemotherapy to prevent nausea." The nurse notes that the route is
missing from the order. What is the nurse's best action?
a. Give the medication intravenously because the patient might vomit.
b. Give the medication orally because the tablets are available in 4-mg doses.
, c. Contact the prescriber to clarify the route of the medication ordered.
d. Hold the medication until the prescriber returns to make rounds.
Correct Answer: c
Rationale: An incomplete medication order must be clarified with the
prescriber before administration. Assuming the route could result in
administering the medication by an inappropriate or unsafe route. Holding the
medication indefinitely without notifying the prescriber could delay necessary
treatment. The nurse must contact the prescriber to obtain a complete and legal
order .
7. When the nurse considers the timing of a drug dose, which factor is
appropriate to consider when deciding when to give a drug?
a. The patient's ability to swallow
b. The patient's height
c. The patient's last meal
d. The patient's allergies
Correct Answer: c
Rationale: The patient's last meal is relevant for medications affected by
food, such as those requiring administration on an empty stomach or with food to
reduce gastrointestinal irritation. The ability to swallow affects route selection,
not timing. Height is not typically relevant to medication timing. Allergies affect
drug selection, not timing .
8. The nurse is performing an assessment of a newly admitted patient. Which is
an example of subjective data?
a. Weight 155 pounds
b. Pulse 72 beats/minute
c. The patient reports that he uses the herbal product ginkgo
d. The patient's complete blood count results
